"Description: PA DEP Bureau of Radiation Protection was notified in writing, dated April 9, 2009, by the Radiation Safety Officer for Mercy Fitzgerald Hospital. An ADCL calibrated Sr-90 ophthalmic applicator was used on a patient for an external eye application for the treatment of pterygium. The guard ring needed to be removed before treatment and was not, hence only delivered 5% of the prescribed dose to the patient.

"The State has an inspection scheduled and will continue to keep NRC informed of the status of our investigation."

A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

"On May 29, 2009, H & S Construction reported that a Troxler moisture density gauge was accidently backed into. The gauge was a Troxler model 3440, serial number 28470, with a 9 mCi source of Cs-137 and a 44 mCi source of Am:Be. The source was in the locked and shielded position when it was hit. The plastic cover on the gauge was broken on one side. An investigation was performed by DEQ [Department of Environmental Quality]. A radiation survey was performed with readings of 7 mR/hr on the damaged side and 3 mR/hr on the undamaged side. The gauge was taken to Gamma-Tron Services so a leak test could be performed. The leak test (less than 0.005 uCi of removable contamination) confirmed that neither the Cs-137 source nor the Am:Be source were damaged or compromised during this incident.

"On 06/17/2009 at 0825 CDT, Kewaunee Power Station notified US Fish and Wildlife Agent that a Peregrine Falcon died onsite. Kewaunee Power Station (KPS) had a breeding pair of Peregrine Falcons nesting on top of the Containment structure with four fledglings. On 6/16/09, one of the fledglings landed on the ground under the nest.

"The fledgling was found dead from natural causes when checked the morning of 6/17/09. The local US Fish and Wildlife Agent was notified by phone message and e-mail at 0825 hrs on 6/17/09. The carcass will be stored frozen at KPS until it is delivered to the local USFWS Agent per USFWS request.

"This is being conservatively reported under 10 CFR 50.72(b)(2)(xi),'Offsite Notification'. The licensee has notified the NRC Resident Inspector."

REPORT INVOLVING THERAPEUTIC ADMINISTRATION OF I-131 TO PATIENT IN EARLY PREGNANCY

On 4/24/09 at approximately 1400 hours, a female patient undergoing treatment for hyperthyroidism received a 12.1 millicuries dose of I-131. She had completed both a questionnaire and lab test indicating that she was not pregnant prior to receiving treatment. Subsequent to the administration, she learned she had conceived approximately 2-3 days prior to treatment. This information was provided to hospital staff on 6/16 at which time an evaluation for potential adverse consequences was initiated.

A non-licensed employee supervisor had a confirmed positive for alcohol during a random fitness-for-duty test. The employee's access to the plant has been revoked. Contact the Headquarters Operations Officer for additional details.